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Decoding Sensitive Skin Syndrome: International Expert Advisory Insights on Management From India and the United States of America.

BACKGROUND: Sensitive skin syndrome (SSS) is a common self-reported condition, more prevalent in women, characterized by redness, irritation, and discomfort in response to various triggers. SSS remains a multifactorial condition with overlapping symptoms and no clear correlation between sensory complaints and observable signs, complicating both diagnosis and management. This study aimed to establish expert-driven recommendations for the diagnosis, treatment, and holistic care of SSS. METHODS: In May 2024, a panel of 11 international dermatologists reviewed literature, answered questionnaires,

Navigating the pause-patient experiences with perioperative anticoagulation interruption: a qualitative study.

BACKGROUND: Patients on chronic anticoagulation frequently undergo temporary medication interruption for surgical or invasive procedures, ye … ry; (2) Communication and Instruction Clarity, emphasizing the need for clear, timely guidance; (3) Self-Management and Logistical Challenges, including difficulties with injections, medication tracking, and dietary management; (4) Healthcare System Gaps, including care coordination failures and access delays; and (5) Emotional and Adaptive Responses, including s …

Impact of Continuing Medical Education on Family Physicians' Knowledge and Clinical Decision-Making Regarding Intermittent Fasting in Type 2 Diabetes.

AIMS/BACKGROUND: Intermittent fasting (IF) is increasingly adopted by patients with type 2 diabetes mellitus (T2DM), often without adequate medical supervision. Despite growing patient demand, family physicians frequently report limited formal training in fasting-related diabetes management. This study aimed to evaluate the efficacy of a structured continuing medical education (CME) intervention in improving family physicians' knowledge, confidence, and clinical decision-making regarding IF in T2DM. METHODS: A single-group pre-test and post-test interventional design was employed. Four weekly

From Surveillance to Intervention in Breast Cancer-Related Lymphedema: Clinical Thresholds, Longitudinal Monitoring, and Actionable Care Pathways.

Breast cancer-related lymphedema (BCRL) is a common and potentially progressive complication of breast cancer treatment. Although lymphatic … iagnostic modalities, intervention thresholds and early management, patient-centered monitoring and self-management, and prospective surveillance strategies. Serial bioimpedance spectroscopy and limb-volume assessment referenced to individual baseline measurements were the most extensively evaluated approaches for identifying clinically meaningful changes before …

Developing a Symptom Toolkit for Adult Lymphoma Patients Receiving Chemotherapy in Malawi.

BACKGROUND: Lymphoma is one of the most common cancers affecting young adults in Sub-Saharan Africa, yet survival outcomes lag far behind those in high-resource settings. A significant contributor to these disparities is treatment abandonment, driven by limited access to essential palliative care support and lack of symptom management medications. This study aimed to assess the feasibility and early uptake of a Symptom Toolkit intervention to support symptom recognition and self-management. METHODS: We designed and implemented a novel, low-cost, culturally appropriate Symptom Toolkit into an …

Evaluation of an AI-assisted digital health follow-up system integrating humanistic care for patients undergoing chemotherapy: a prospective quasi-experimental study.

BACKGROUND: Chemotherapy imposes substantial physical and psychological burdens that may reduce treatment adherence and quality of life. Tra … age model-assisted communication, personalized follow-up, and data visualization. Outcomes included self-management ability, quality of life (QoL), and patient satisfaction. Between-group comparisons used independent-samples t-tests, with adjusted analyses performed using analysis of covariance. RESULTS: At 3 months, the AI-assisted group had higher self-managem …

Пересмотр подходов к реабилитации и образу жизни для повышения качества жизни людей с множественным склерозом: обзор скопирования.

Фон: Множественный склероз (МС) связан со сложными физическими, когнитивными и поведенческими проблемами, которые в совокупности влияют на качество жизни. Включение таких компонентов образа жизни, как оптимизация сна, поведение в рационе питания, борьба со стрессом и стратегии саморегулирования, в процесс реабилитации может способствовать достижению результатов, выходящих за рамки традиционных подходов. Целью этого аналитического обзора было картирование реабилитационных мероприятий, которые сочетают в себе психомоторные, когнитивные, ориентированные на образ жизни или мультимодальные элементы

Совпадение в аннотации оригинала
Background: Multiple sclerosis (MS) involves complex physical, cognitive and behavioral challenges that collectively affect quality of life. Integrating lifestyle components such as sleep optimization, dietary behaviors, stress management, and self-management strategies into rehabilitation may enhance outcomes beyond traditional approaches. This scoping revi…

Health Literacy in Inflammatory Bowel Disease: A Systematic Review of Health Outcomes, Predictors and Barriers.

Background/Objectives: Inflammatory bowel disease (IBD), including Crohn's Disease and Ulcerative Colitis, requires complex treatment and active patient participation. Health literacy (HL), defined as the ability to access, understand, and apply health information, is a key factor influencing adherence, self-management, and quality of life in chronic illness. However, evidence regarding HL in IBD remains limited and fragmented. This systematic review aimed to synthesize existing literature on HL in IBD, exploring its impact on outcomes, as well as its predictors and barriers. Methods: A system…

Unveiling the hidden pain and daily struggles of individuals with a venous leg ulcer: a thematic analysis.

AIM: This study aimed to explore the experiences of pain among individuals living with venous leg ulcers (VLUs), focusing on how pain was described, its impact on daily living, and the coping strategies employed by them. MATERIALS AND METHODS: A secondary qualitative analysis was conducted using data from a previous study on VLU self-management following nurse-led patient education. The original study employed a constructivist grounded theory approach, while this secondary analysis utilized Braun and Clarke's thematic analysis methodology. Semi-structured interviews from 22 participants were …

A six-year retrospective study of patient outcomes following involved or close margin basal cell carcinoma excision.

INTRODUCTION: This study aimed to analyse patient management and outcomes following involved or close margin basal cell carcinoma (BCC) excision to investigate what factors influence the risk of involved and close margin excision and contribute to recurrence. METHODS: Histology reports identifying BCCs at Cambridge University Hospital from 2015 to 2021 were collected. After applying exclusion criteria, patient notes were analysed, looking at multiple variables in their clinical details and treatment pathway. RESULTS: A total of 160 involved margins, and 500 close-margin BCCs were included. I

Меры по оказанию помощи в случае хронических заболеваний, основанные на группировании: систематический обзор случайных контролируемых испытаний.

Растущее глобальное бремя хронических заболеваний требует новых и интерактивных и устойчивых мер. Гамификация стала новаторской стратегией, направленной на более активное вовлечение пациентов в лечение хронических заболеваний и их самостоятельное лечение. Хотя gamification широко используется в сфере здравоохранения, анализ данных о ее эффективности в различных клинических условиях остается непоследовательным. three основные базы данных: EBSCOhost, PubMed и Scopus вместе с two поисковые системы, включая Google Scientific and Sage Journal, без ограничений по годам, после PRISMA 2020 и методолог

Совпадение в аннотации оригинала
BackgroundThe increasing global burden of chronic conditions demands novel interventions that are both interactive and sustainable. Gamification has emerged as an innovative strategy to enhance patient engagement and self-management in chronic disease care. Although gamification is widely adopted in healthcare, a review of evidence on its effectiveness acros…

How do people with knee osteoarthritis perceive and manage flares? A qualitative study.

BACKGROUND: Acute flares in people with osteoarthritis (OA) are poorly understood. There is uncertainty around the nature of flares, their impact, and how these are managed. AIM: To explore understandings and experiences of flares in people with knee OA, and to describe self-management and help-seeking strategies. DESIGN & SETTING: Qualitative interview study of people with knee OA in England. METHOD: Semi-structured interviews were undertaken with 15 people with knee OA. Thematic analysis was applied using constant comparison methods. RESULTS: The following four main themes were identifie…

I don't know what type of arthritis I have: A population-based comparison of people with arthritis who knew their specific type and those who didn't.

OBJECTIVE: To understand differences between people with arthritis who do not know their type (DK) compared to those reporting osteoarthriti … (seeing health professionals, medication use, assistive devices, receipt of arthritis information, self-management activities). Multinomial logistic and log-Poisson regressions were used, as appropriate, to compare the DK to the OA and IAA groups. RESULTS: In this arthritis sample, 44.2% were in the DK group, 38.3% reported OA and 17.5% reported IAA. Those in t …

Peyronie's Disease: What About the Female Sexual Partner?

INTRODUCTION: Peyronie's disease (PD) is an acquired wound-healing disorder of the penis involving fibrosis and scar formation within the tunica albuginea that can lead to various penile deformities resulting in penile pain, sexual dysfunction, low self-esteem, and emotional distress. While many studies highlight the psychosocial impact of PD on the patient, little is known about the female partner's experience regarding PD and its management. OBJECTIVES: To evaluate and summarize the available clinical data on the effects of the disease and its management on female sexual partners of patient

Priapism and hemodialysis: Case report and literature review
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BACKGROUND: Priapism is a known but rarely described complication of patients on dialysis. The incidence of priapism in the general population is estimated at 1.5 in 100,000 patients and 2.9 in 100,000 patients in males over 40 years of age; however there is little current literature describing priapism in adult dialysis patients and no current literature in pediatric dialysis patients [1]. We describe two pediatric patients who developed priapism concurrent with hemodialysis, each with differing severity and therapeutic management. Case diagnosis/treatment: Two adolescent males presented with

Advanced Patient-Centered Communication for Health Behavior Change: Motivational Interviewing Workshops for Medical Learners.

INTRODUCTION: Medical settings are critical access points for behavior change counseling, and lifestyle behavior change is considered a key component of chronic disease management. The Association of American Medical Colleges recommends that future physicians be competent in shared decision making and patient-centered behavioral guidance to prevent illness and improve patient self-management of chronic disease. Motivational interviewing (MI) is a patient-centered, directive method of communication to enhance behavior change. Specific teachable strategies underlie the collaborative MI communica…

The impact of the Rasouli decision: a Survey of Canadian intensivists.

INTRODUCTION: In a landmark 2013 decision, the Supreme Court of Canada (SCC) ruled that the withdrawal of life support in certain circumstances is a treatment requiring patient or substitute decision maker (SDM) consent. How intensive care unit (ICU) physicians perceive this ruling is unknown. OBJECTIVES: To determine physician knowledge of and attitudes towards the SCC decision, as well as the self-reported changes in practice attributed to the decision. METHODS: We surveyed intensivists at university hospitals across Canada. We used a knowledge test and Likert-scale questions to measure re

Clinical practice guidelines for identification, screening and follow-up of individuals at high risk of primary cutaneous melanoma: a systematic review.

Understanding how individuals at high-risk of primary cutaneous melanoma are best identified, screened and followed up will help optimize melanoma prevention strategies and clinical management. We conducted a systematic review of international clinical practice guidelines and documented the quality of supporting evidence for recommendations for clinical management of individuals at high risk of melanoma. Guidelines published between January 2000 and July 2014 were identified from a systematic search of Medline, Embase and four guideline databases; 34 guidelines from 20 countries were included.

Spasticity treatment facilitates direct care delivery for adults with profound intellectual disability.

Many adults with intellectual disabilities (ID) have spasticity, where increased muscle tone impairs activities of daily living (ADL) self-performance and care delivery. There are few reports of spasticity treatment for people with ID, and none of functionally meaningful outcomes. Our objective is to determine the effect of comprehensive spasticity management on ADL self-performance and care delivery. Baseline evaluation included repeated modified Ashworth and range of motion assessments, and timed and videotaped care task observations. Spasticity treatment was initiated immediately thereafter

Reclaiming agency: how women build mood, confidence and social connections during perimenopause.

OBJECTIVE: This study aimed to understand women's lived experiences of perimenopause, with reference to brain fog, mood, confidence and soci … ationships. CONCLUSION: Perimenopause was experienced as dynamic yet manageable through structured self-management and supportive contexts. Findings support holistic, multimodal care that integrates symptom management with sleep, behavioral, cognitive and social interventions.